Ticket for Outdoor Patient
Ward No.  29 U-PHC No.   Registration No.  00523 Date  09/12/2019
Token No SM/19-20/1021   09/12/2019 Serial 002
Patient Name Mrs. JAYANTI DEBI Contact No8583045541
Address PRABASHNAGAR HINDI SCHOOL Age 50  Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis